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Kumar Abhishek (PGCHM/2019/19)

Anand Healthcare Management

EXECUTIVE SUMMARY

Adept professional with extensive experience of about 6 years in the area of Risk Adjustment in US healthcare setting for a Fortune 5 company. I am a result driven individual, collaborative team player with strong attention to detail and eager to learn about new technologies and business issues. WORK EXPERIENCE <70 months>

Optum Global Solutions(UHG) Nov’14 – Mar ‘19

Expertise in various critical project US healthcare projects such as ACA, HCC, HQPAF

Accurately code ICD 10-CM codes for providers to ensure proper reimbursement. Senior Medical

Coding Analyst

Work with cutting edge technology including various EMR systems and the best encoder in business.

Undergone training for HIPAA compliance and maintain patients and providers confidentiality.

Learnt people management skills by imparting shadow training to new joiners about process workflow.

Won Venus award for best employee of the month in September 2015. Visionary RCM InfoTech Aug ’13 – Sep ‘14

Medical Coder

Gained expertise in projects like HEDIS, HCC and review chart and assigning ICD 9CM codes.

Learnt meeting deadlines while working on short term as well as long term projects. E4E Healthcare Pvt Ltd Nov’12 – Apr ‘13

Coder

Hands on experience in chart analysis and assigning codes following ICD 9-CM guidelines.

POSITIONS OF RESPONSIBILITY

Co-ordinator

Co-ordinated an event “Tug of War” and managed participants and supervised teammates in a national level Tech Fest “Robolympix-10 in SRM University. ACADEMIC QUALIFICATIONS

Year Degree/Examination Board/University %/CGPA

2012

Bachelor of Technology in Bio-process

Engineering

SRM University 7.7/10

2006 Class XII CBSE 64%

2004 Class X CBSE 79.6%

PROJECTS

E-Consultation

Study of E-Consultation in healthcare, analysed its outcome and impact by reviewing apps such as Practo, Docsapp and Lybrate.

Recovery Of

Struvite

Successful recovery of Struvite (organic fertilizer) from waste water treatment which has similar composition as chemical fertilizers and compared the growth of plants using these two and found comparatively better growth using struvite. EXTRA CURRICULAR ACHIEVEMENTS

Worked as Social activist for Ansha, provided children their elementary education and serve one time meal for poor kids who attend the sessions sponsored by Tripura Foundation- a US based NGO.

Played and performed a crucial in the Winning Team in Chart Ops corporate cricket tournament in 2016.

CERTIFICATIONS

Certified Professional Coder certification (CPC) credential approved by American Academy of Professional Coders (AAPC) & ICD 10-CM certified.

Received “Lean Six Sigma Green Belt” certification offered by KPMG to improve business performance